This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies.  Read our Cookies Policy.
Close
Eye News
  • Features
    • Close
    • Features
    • Allied Professions
    • Humanitarian
    • Interviews
    • AI & Oculomics
    • Ophthalmology
    • Optometry
    • Podcast videos
    • Supplements
  • Education
    • Close
    • Education
    • Learning Curve
    • Quiz
    • Top Tips
    • Trainees
    • Medico-Legal
    • The Truth Behind The Headlines
    • Case Reports
    • Pete's Bogus Journey
  • Reviews
    • Close
    • Reviews
    • Book Reviews
    • Journal Reviews
    • What's trending?
    • Tech Reviews
    • My Top Five
    • The Culture Section
  • Events
  • News
  • Product Guide
  • Industry News
  • Contact us
    • Close
    • Contact us
    • Write for Eye News
  • Home
  • Reviews
  • Journal Reviews
  • Lester Jones tubes: Can these be tolerated long-term?

Lester Jones tubes: Can these be tolerated long-term?
Reviewed by Sofia Rokerya

1 June 2018 | Sofia Rokerya | EYE - Oculoplastic, EYE - Orbit

The authors present a retrospective case review study of a cohort of patients with Lester Jones’ tubes first placed between 1969 and 1989, and who were reviewed within the last 15 years. Twenty-nine patients (33 eyes) were included in the study. The average follow-up was 29.5 years (median 28.8 years, range 17-45.7 years). The aetiology for canalicular block was known in 97% (32/33) cases, the commonest being post-herpetic obstruction (24%), congenital causes (18%), post-radiation (12%), and failed multiple lacrimal surgery. In 32 eyes where survival of the first placed tube was known, it varied widely from 18 days to 44.4 years, with an average survival of 13.6 years (median 6.9 years) – and retention of the initially placed device in this cohort was 50% at five years, 30% at 20 years, and 25% beyond 30 years. Eight eyes (24%) still had the original device in place with 6/8 (75%) placed in the 1970s and 2/8 (25%) in the 1980s. Survival of the initial tube was notably longer for congenital atresia (mean 16.1 years) and post-herpetic block (mean 16.9 years), as compared to that in patients with facial palsy (<3 months) or after trauma (11 months). At last follow-up, 11/33 (33%) of eyes had lost their tubes, with nine of them having minimal or no symptoms. 

Can Lester Jones tubes be tolerated for decades?
Scawn RL, Verity DH, Rose GE.
EYE
2018;32:142-5.
Share This
Sofia Rokerya
CONTRIBUTOR
Sofia Rokerya

MBBS MRCOphth FRCSI, King's College University Hospital, UK.

View Full Profile
Specialty
  • EYE - Cataract
  • EYE - Cornea
  • EYE - General
  • EYE - Glaucoma
  • EYE - Neuro-ophthalmology
  • EYE - Oculoplastic
  • EYE - Oncology
  • EYE - Orbit
  • EYE - Paediatrics
  • EYE - Pathology
  • EYE - Refractive
  • EYE - Strabismus
  • EYE - Vitreo-Retinal
Archive
  • 2025
  • 2024
  • 2023
  • 2022
  • 2021
  • 2020
  • 2019
  • 2018
  • 2017
  • 2016
  • 2015
  • 2014
  • 2013

Top Of Page

9 Gayfield Square, 
Edinburgh EH1 3NT, UK.

Call: +44 (0)131 557 4184
www.pinpoint-scotland.com

WEBSITE DETAILS
  • Cookie Policy
  • Data Protection Notice
  • Privacy Policy
  • Terms and Conditions
ABOUT US
  • Who we are
  • Register
  • Contact us
  • Contributors
  • Company Awards
DIGITAL ISSUES/GUIDELINES
  • Digital issues - Library
  • Supplements - Library
  • Guidelines
Accreditations
IPSO_FLAG_TEAL 2025.png cpdcertified.png

Pinpoint Scotland Ltd (Registered in Scotland No. SC068684) | © 2025 - Website by Gecko Agency